Susan Stewart Jordan in Atlanta - Sports Medicine
Susan Stewart Jordan - NPI 1336344324
Susan Stewart Jordan is a Sports Medicine in Atlanta, Georgia. Susan Stewart Jordan practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Susan Stewart Jordan is 1336344324. The last update date is 2020-05-27.
Susan Stewart Jordan's current location address is 900 Circle 75 Pkwy Se, Atlanta, Georgia. You can contact this provider via phone number 7709536929 and fax number 7709536972. The mailing address for Susan Stewart Jordan is 900 Circle 75 Pkwy Se, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Stewart Jordan |
|---|---|
| Address | 900 Circle 75 Pkwy Se, Atlanta, Georgia |
| Phone Number | 7709536929 |
| Fax Number | 7709536972 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336344324 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2020-05-27 |
Provider Mailing Address Detail
| Address | 900 Circle 75 Pkwy Se |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303393035 |
| Phone Number | 7709536929 |
| Fax Number | 7709536972 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 66169 |
|
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45509 | CT | STATE LICENSE | |
| 66169 | GA | STATE LICENSE | |
| MD432428 | PA | PA STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Stewart Jordan by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Stewart Jordan has been assigned the NPI (National Provider Identifier) 1336344324. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Susan Stewart Jordan's facilities are geographically located?
The facilities of Susan Stewart Jordan are physically situated at the following location: 900 Circle 75 Pkwy Se, Atlanta, GA, 303393035.
What is Susan Stewart Jordan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan Stewart Jordan is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Xx0005X.
On what date did the Susan Stewart Jordan receive its 1336344324 assignment from the Centers for Medicare & Medicaid Services?
The Susan Stewart Jordan was assigned its 1336344324 by the Centers for Medicare & Medicaid Services on 2007-06-19.
As of what date were the Susan Stewart Jordan's details last updated?
The information pertaining to the Susan Stewart Jordan, including its address, specialty, and other details, was most recently updated on 2020-05-27.